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Hyperlipidemia in rheumatoid arthritis patients in Saudi Arabia. Correlation with C-reactive protein levels and
1Department of Internal Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia. E-mail. suzan_attar@hotmail.com.
Insights
Hyperlipidemia is prevalent in Saudi Arabian rheumatoid arthritis (RA) patients, significantly linked to elevated C-reactive protein (CRP) and disease activity. This highlights the need for increased awareness of lipid disorders in active RA.
Area of Science:
- Rheumatology
- Cardiovascular Medicine
- Clinical Biochemistry
Background:
- Rheumatoid arthritis (RA) is a chronic inflammatory disease associated with an increased risk of cardiovascular complications.
- Hyperlipidemia is a known risk factor for cardiovascular disease, but its prevalence and associations in RA patients in Saudi Arabia require further investigation.
Purpose of the Study:
- To determine the prevalence of hyperlipidemia in rheumatoid arthritis patients in Saudi Arabia.
- To investigate the relationship between hyperlipidemia, C-reactive protein (CRP) levels, and disease activity in these patients.
Main Methods:
- A cross-sectional study was conducted on 180 RA patients at King Abdulaziz University Hospital, Saudi Arabia.
- Lipid profiles were measured after overnight fasting.
- Associations between lipid profiles, CRP levels, and disease activity (28-Joint Disease Activity Score) were analyzed.
Main Results:
- A high prevalence of hyperlipidemia was observed, with elevated total cholesterol in 55.1% and low-density lipoprotein cholesterol in 51.2% of patients.
- A significant association was found between increased total cholesterol and higher CRP levels (p=0.002).
- A positive correlation was detected between total cholesterol and RA disease activity (r=0.23, p=0.036).
Conclusions:
- Hyperlipidemia is common in Saudi RA patients and significantly associated with elevated CRP levels and disease activity.
- These findings underscore the importance of monitoring lipid profiles in RA patients, particularly during periods of active disease.
- Increased awareness among healthcare professionals is crucial for managing hyperlipidemia in active RA.
Objectives:
To determine the prevalence of hyperlipidemia in patients from Saudi Arabia with rheumatoid arthritis (RA), and to investigate its relationship with C-reactive protein level and disease activity.
Methods:
A cross-sectional 3-year study was conducted on RA patients at King Abdulaziz University Hospital, Saudi Arabia between January 2011 and December 2013. Lipid profiles were determined following 12-hour overnight fasting, and the association of lipid profiles with C-reactive protein (CRP) levels and disease activity was determined.
Results:
This study involved a total of 180 RA patients (mean age: 40.49±12.19 years). These subjects displayed a high prevalence of elevated total cholesterol (55.1%), and low-density lipoprotein cholesterol (51.2%). Notably, we detected a significant association between increased total cholesterol and high CRP levels (p=0.002). Moreover, we observed a positive correlation between total cholesterol and disease activity, as measured using the 28-Joint Disease Activity Score index (r=0.23, p=0.036).
Conclusions:
Hyperlipidemia is common among RA patients and is significantly associated with CRP levels and disease activity. Our findings emphasize the need to raise awareness among healthcare professionals regarding the development of hyperlipidemia when RA is active.
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